| Dr Lee Daniel Logan, DO | |
|
8845 Rhea County Hwy, Suite 101, Dayton, TN 37321-5926 | |
| (423) 775-4261 | |
| (423) 757-6988 |
| Full Name | Dr Lee Daniel Logan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 8845 Rhea County Hwy, Dayton, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336188085 | NPI | - | NPPES |
| 056887 | Other | GA | GEORGIA LICENSE |
| 4157006 | Other | TN | BCBS |
| PTAN P00416016 | Other | TN | MEDICARE RAILROAD |
| DO 1846 | Other | TN | TN LICENSE |
| 3300005 | Medicaid | TN | |
| 4718093 | Other | TN | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO 1846 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Chattanooga | Chattanooga, TN | Home health agency |
| Rhea Medical Center | Dayton, TN | Hospital |
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | Logan Family Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619113867 PECOS PAC ID: 2769546266 Enrollment ID: O20090128000281 |
| Entity Name | South Central Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20190830001905 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lee Daniel Logan, DO 8845 Rhea County Hwy, Dayton, TN 37321-5926 Ph: (423) 775-4261 | Dr Lee Daniel Logan, DO 8845 Rhea County Hwy, Suite 101, Dayton, TN 37321-5926 Ph: (423) 775-4261 |
Dr. Stuart P Bacon, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7794 Rhea County Hwy, Suite 101, Dayton, TN 37321 Phone: 423-775-4261 Fax: 423-570-2008 | |
Thomas P. Bovine, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7794 Rhea County Hwy, Suite 101, Dayton, TN 37321 Phone: 423-775-3363 Fax: 423-775-3366 | |
Christopher Reynolds Horton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7693 Rhea County Hwy, Suite 3, Dayton, TN 37321 Phone: 423-570-8545 Fax: 423-570-0326 | |
Dr. Paul Meredith Hendricks, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 163 Walnut Grove Church Rd, Dayton, TN 37321 Phone: 423-775-6668 Fax: 423-775-1054 | |
Diana Novakovic Kessler, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 195 White Oak Rd Ste 100, Dayton, TN 37321 Phone: 423-285-6240 Fax: 877-276-2910 | |
Mrs. Susan Romo, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7794 Rhea County Hwy, Suite 101, Dayton, TN 37321 Phone: 423-775-4261 Fax: 423-570-2008 |